Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,331.18 / $2,306.80 / $3,388.74	Facility		$1,331.18	$2,306.80	$3,388.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,331.18 / $1,652.54 / $3,673.17	Professional		$1,331.18	$1,652.54	$3,673.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,634.62 / $5,292.58	Facility		$964.00	$2,634.62	$5,292.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,270.23 / $2,121.28 / $3,577.75	Professional		$1,270.23	$2,121.28	$3,577.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,261.00 / $2,675.67 / $4,084.98	Facility		$2,261.00	$2,675.67	$4,084.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $926.52 / $2,222.92 / $2,500.00	Facility		$926.52	$2,222.92	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,630.32 / $2,446.09 / $4,005.68	Professional		$1,630.32	$2,446.09	$4,005.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,524.28 / $2,188.27 / $4,319.70	Professional		$1,524.28	$2,188.27	$4,319.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,494.55 / $2,434.51 / $3,830.96	Professional		$1,494.55	$2,434.51	$3,830.96